USPTO Patents Application 10760374

A . . PTO/SB/06 (08-03)

l|(JDfl( ' . T Approved for use through 7/31/2006. OMB 0651-0032

Application or Docket Number

PATENT APPLICATION FEE DETERMINATION RECORD

Substitute for Form PTO-875

CLAIMS AS FILED - PART I

(Colu mn 1) (Column 2) SMALL ENTITY

Application or Docket Number

OR

OTHER THAN
SMALL ENTITY

FOR

NUMBER FILED

NUMBER EXTRA

"BASIC*FEE~"
(37 CFR 1.16(a))

OR

$

TOTAL CLAIMS
(37 CFR 1.16(c))

minus 20 =

X $ =

OR

X % =

INDEPENDENT CLAIMS
(37 CFR 1.16(b))

minus 3 =

X % =

OR

X % =

MULTIPLE DEPENDENT CLAIM PRESENT (37 CFR 1.16(d))

+ J

OR

+ $ =

' If the difference In column 1 is less than zero, enter "0* in column 2.

TOTAL

OR

TOTAL

CLAIMS AS AMENDED - PART II

(Column 1) (Column 2) (Column 3)

AMENDMENT A

M

CLAIMS
REMAINING

AFTER
AMENDMENT

HIGHEST
NUMBER
PREVIOUSLY
PAID FOR

PRESENT
EXTRA

Total

(37 CFR 1.16(c))

Minus

Independent

{37 CFR 1.16(b))

• V

Minus

"' V-

FIRST PRESENTATION OF MULTIPLE OEPENOENT CLAIM (37 Cf

"R 1.16(d))

(Column 1) (Column 2) (Column 3)

AMENDMENT B

CLAIMS
REMAINING
AFTER
AMENDMENT

HIGHEST
NUMBER
PREVIOUSLY
PAID FOR

PRESENT
EXTRA

Total

(37 CFR 1.16(c))

Minus

Independent
(37 CFR 1.16(b))

Minus

FIRST PRESENTATION OF MULTIPLE DEPENDENT CLAIM (37 CFR 1.16(d))

(Column 1) (Column 2) fColumn 31

O

£

LU

CLAIMS
REMAINING
AFTER
AMENDMENT

HIGHEST
NUMBER
PREVIOUSLY
PAID FOR

PRESENT
EXTRA

DMi

Total

(37 CFR 1.16(c))

Minus

/IEN

Independent

(37 CFR 1.16(b))

Minus

*««

<

FIRST PRESENTATION OF MULTIPLE DEPENDENT CLAIM (37 CFR 1.16(d))

SMALL ENTITY

OR

RATE

ADDI-
. TIONAL
FEE

=

TOTAL
ADD'L FEE

RATE

ADDI-
TIONAL
FEE

x $£S =

x i lOO =

TOTAL
ADD'L FEE

OTHER THAN
SMALL ENTITY

RATE

ADDI-
TIONAL
FEE

OR

Xi$Q =

OR

x*^ =

OR

OR

TOTAL
ADD'L FEE

RATE

OR

x $J £&_ =

OR

OR

TOTAL

OR

ADD'L FEE

ADDI-
TIONAL
FEE

RATE

ADDI-
TIONAL
FEE

RATE

ADDI-
TIONAL 1
FEE

OR

* * So =

x % tOD =

OR

OR

TOTAL
ADD'L FEE

OR

TOTAL
ADD'L FEE

♦ If the entry in column 1 is less than the entry in column 2, write "0" in column 3.
" If the "Highest Number Previously Paid For IN THIS SPACE is less than 20, enter "20"

* If the "Highest Number Previously Paid For" IN THIS SPACE is less than 3, enter "3".
— The "Highest Number Previousl y Paid For (Total or Independent) is the highest number found in the appropriate box in column 1

This collection of information is required by 37 CFR 1.16. The information is required to obtain or retain a benefit by the public which is to file (and by the
USPTO to process) an application. Confidentiality is governed by 35 U.S.C. 122 and 37 CFR 1.14. This collection is estimated lo take 12 minute to comole e
mcluding gathering, prepanng, and submitting (he compleled application form lo the USPTO. Time will vary depending upon the Sua!
on the amount oMime you require lo complete (his form and/or suggestions for reducing this burden, should be sent to (he Chief nformatb ^Office uT£ ent

ADDR^sT 1 ?^^ TO U r S " ° ePar1men! ? C o° mmerCe D P ° D B ° X 145 °' Al6Xandria ' VA 22313 ^- DO NOT SEND FEES OR COMPLETEC ) TORMS TO THIS
ADDRESS. SEND TO: Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450. ■ " . ^

// you need assistance in completing the form, call 1-800-PTO-9199 and select option 2. J

United States Patent and Trademark Office
- Sales Receipt -

03/22/2006 MRICHARD 00000001 194880 10760374

01 FC:1202 100.00 DA